Lightner Witmer opened the first psychological clinic at the University of Pennsylvania in 1896. He treated a young boy who struggled with spelling and found success in his methods. This event marked the beginning of clinical psychology as a distinct field. Before this moment, academic psychologists focused on pure science rather than applied work. The study of mental illness belonged to psychiatrists and neurologists within asylum movements. Witmer defined clinical psychology as the study of individuals by observation or experimentation with the intention of promoting change. Ten years later he founded The Psychological Clinic journal to share these ideas. By 1914 there were twenty-six similar clinics operating across the United States.
War Changes The Focus
World War II forced a dramatic shift from assessment to active treatment for clinicians. Soldiers returning from combat displayed symptoms labeled shell shock that required immediate care. Physicians remained over-extended treating physical injuries so psychologists stepped in to help. The Veterans Administration invested heavily to train doctoral-level clinical psychologists after the war ended. In 1946 the US had no formal university programs in clinical psychology but by 1950 over half of all PhDs awarded were in this field. Female psychologists formed the National Council of Women Psychologists to support communities during wartime stress. Graduate education began adding psychotherapy to its existing science and research focus based on the 1947 scientist-practitioner model known today as the Boulder Model.